• Anesthesia and analgesia · May 2009

    Fluoroscopically guided cervical interlaminar epidural injections using the midline approach: an analysis of epidurography contrast patterns.

    • Kwang Su Kim, Sung Sik Shin, Tae Sam Kim, Chang Young Jeong, Myung Ha Yoon, and Jeong Il Choi.
    • Department of Anesthesiology and Pain Medicine, Gwangju Saewoori Spine Hospital, Seogu, Gwangju, Korea. rockingstone@hanmail.net
    • Anesth. Analg. 2009 May 1;108(5):1658-61.

    BackgroundThe purpose of this study was to evaluate epidurography contrast patterns in fluoroscopically guided cervical interlaminar epidural injections using the midline approach.MethodsAll epidural injections were performed at the C6-7 level in the prone position. Epidurography was performed using a fixed amount of iotrolan 240 mg I/mL (1, 2, 3 mL).ResultsThe rate of ventral epidural spread was 56.7% in Group A (1 mL), 90% in Group B (2 mL), and 93.3% in Group C (3 mL).ConclusionsTwo milliliters of contrast solution can provide optimal dispersion of contrast in a ventral and longitudinal spread.

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